Programación: iniciación al ukelele en tercero de educación primaria

Prevalence

The prevalence is defined as the expected number of people within a general population that can be expected to have a physical or sensory disability.

Total Population Predicted to have a Moderate or Severe Physical Disability in Buckinghamshire (18-64) 4,131 4,180 4,247 4,435 5,823 5,752 5,612 5,712 10,061 10,033 9,823 9,870 11,249 11,505 11,817 12,394 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 2008 2010 2015 2020 Years P opula tio n Aylesbury Vale Wycombe Chiltern South Bucks

The information provides details of the number of people expected to have a

physical or sensory disability within the population. This is sometimes referred to as ‘true’ prevalence. The figures for ‘true’ prevalence are large with approximately 1 in 10 people between the age of 18 and 65 being defined as having a moderate or serious physical disability.

Table 15

Shows the projected number of housing units needed up until 2020 for physical and sensory disability.

This table shows the number of specialist and general needs accommodation that it is predicted will be needed. It also shows the numbers required by district and how many will be needed in the period up until 2020.

2008 2010 2015 2020

Speciali st Gene ral Total Speciali st Gene ral Total Speciali st Gene ral Total Speciali st Gene ral Total

AVDC

3 2 5 5 3 8 7 3 10 11 6 17

Chiltern

2 1 3 2 1 3 3 1 4 5 3 8

South

Bucks

1 0 1 1 0 1 2 0 2 4 1 5

Wycombe

3 2 5 4 2 6 6 3 9 8 5 13

BCC

9 5 14 12 6 18 18 7 25 28 15 43

The detail regarding the methodology and the range and sources of data used to predict the number of housing units needed is available in appendix 2.

The figures show us that:

• The demand for units of accommodation to support physical and sensory disability over the next 12 years is predicted to be slight.

• The current supply of general needs housing for people with physical and sensory disability is satisfactory.

• There is very limited predicted growth in the prevalence of physical and sensory disability over the next 12 years, so if supply is currently satisfactory then it will be satisfactory in 12 years time.

• Aylesbury Vale has the highest need for additional units, especially for specialist accommodation. There is a predicted need for an additional 11 units by 2020.

• The majority of the need for specialist accommodation is attributable to the commissioning priority of providing accommodation and support to people in Buckinghamshire who are currently living in residential accommodation in other counties.

The housing and support partnership in ‘Identifying the housing needs of social care groups in Bucks’ – May 2007 states that there is a need for 21 wheelchair

accessible housing units per year. Using the PANSI and 4NW prediction model of housing need there is a need for 388 units by 2020. If this figure is divided by 12 to get an annual need figure for the life of the plan it equates to 32 units needed per year to meet this projected demand. However there is supply that Housing and Support partnership did not consider, and with this model supply of 362 units (as of 2008) is included, as such there is a large discrepancy between the two figures.

The level of current supply within Buckinghamshire has been assessed based upon the number of people currently receiving residential or nursing care and the number of people receiving packages of support in their own home. This total figure is an estimate of the wider housing supply and assumes that the housing for people supported in their own home is satisfactory and meets their need and therefore can be counted as relevant supply.

However it has to be recognised that defining housing supply for people with physical and sensory disability is complicated and any model or process used has inherent difficulties, and at best is an estimate.

We will continue to work closely with Buckinghamshire County Council

commissioning to review the level of supply and demand and reflect changes within reviews of this housing plan.

What will help over the next 12 years to decrease demand for specialist housing for physical and sensory disability?

The Buckinghamshire joint commissioning strategy for physical and sensory disability 2008 -11 outlines a number of commissioning priorities that are focussed on promoting prevention, self support and independent living. This will have the effect of enabling more people to receive the support that they need in their current accommodation and help to embed the idea of bringing ‘services to people’ rather than taking ‘people to the service’. This should result in less need for specialist accommodation, and for less people to have to move to have their needs met. Priorities include:

• The development of a clearer and more focussed community equipment loans service (CELS).

• Focussing on providing support in a person’s home by using domiciliary care rather than providing residential care.

• Development of user led organisations and creating a ‘centre for independent living’ in Buckinghamshire.

• Increase the use, range and availability of telecare and telehealth equipment to support people.

There are other more general initiatives that will help to promote people being able to stay in their own home:

• The Disabled Facilities Grant (DFG) is a grant that is made available through housing authorities for adaptations to a person’s home to promote

independence, and enable a person to live in their own home for as long as possible. The maximum grant available has recently increased from 25K to 30K. The government is keen to promote the use of the DFG and to remove barriers and complications in how it is accessed.

• As previously stated in the learning disability section of the plan the impact of ‘lifetime homes’ will be felt more over time as an increase in new supply has to meet the requirements. This will mean that more general needs houses will meet the needs of people with a physical disability, and if someone acquires a physical

• The development of extra care housing for older people will promote choice for older people with a physical or sensory disability, and will reduce the demand for residential care.

• The increased personalisation of adult social care in the form of Self Directed Support, will allow people to meet their needs in more creative ways and should encourage a more holistic approach to people’s needs that more directly

includes the spending of adult social care finances on housing, if that is what the individual thinks is best.

What do people with a physical and sensory disability require from their housing?

For those people requiring accommodation then the following issues should be considered when deciding whether accommodation would be suitable:

• Accessibility within the home and in the local neighbourhood

• Long term suitability, and whether adaptations would be able to be incorporated if a person’s needs change

• Nearby local facilities – shops, leisure, library

• Close to public transport links

• Energy efficient homes

• Appropriate adaptations within the home to promote independence

• Wheelchair accessibility (if appropriate to a person’s needs)

• Assistive technology, or the ability to install appropriate technology

• Involvement in the design and specification stage of any new development

How will this extra capacity for physical and sensory disability accommodation be met?

As previously stated, there is limited demand for additional capacity, and the actions within the commissioning strategy will assist in addressing the minor shortfall.

The ‘building for our futures project’ that was explained in the learning disability section of the plan will also help to address the minor shortfall.

‘Knotty issues’

The vast majority of people with a physical or sensory disability will remain in their own home, and manage their issues independently with little contact with adult social care. We need to be aware of this and provide a clear ‘route map’ and

information for people to help them to access services in a preventative way to stop peoples’ conditions worsening, resulting in the need for higher level services and possibly avoidable specialist accommodation.

How the personalisation agenda will affect the need for housing for people with physical or sensory disabilities is largely unknown at this time. Although we do know that personalisation (in the form of Self Directed Support) will allow people to have a

‘budget’ to meet their assessed needs in a way that they see fit rather than the county council deciding which services are appropriate. This could have implications for housing, adaptations and equipment and additional services being provided to maintain peoples’ independence. As part of this plan we will need to monitor the impact of personalisation and adapt to facilitate the market and promote

independence and choice.

We know that there are going to be an increasing number of older people with physical and sensory disabilities. How the interface is managed between Older Peoples Services and PSD services will need to be managed effectively, to ensure the right housing and support are available to maintain independence and the ability for people to continue to live in their own homes for as long as possible.

There is no countywide register of adapted homes available, and there could be inefficient use of resources for housing associations, district councils and adult social care. Individuals adapt their own home and then move on with no

consideration of the use of the home being available for someone else with a disability. This has been recognised as an issue with the district councils and thought should be given to how a practical register of adapted housing could be developed. A possible approach could be to commission a local voluntary

organisation to develop and maintain such a register, as done by some other local authorities.

In document El ukelele como instrumento escolar (página 33-47)